PMID: 9547836Apr 21, 1998Paper

Four-step CPR--improving skill retention

Resuscitation
J A Handley, A J Handley

Abstract

This study is an attempt to see if simplifying the teaching of basic life support leads to better skill acquisition and retention. Forty-eight lay volunteers received instruction in CPR; 24 were taught the standard 8-step sequence whereas 24 were taught a simplified 4-step sequence. Tests of performance were carried out on a manikin before and after training. Those in the 4-step group were significantly better than those in the 8-step group at remembering the sequence of skills immediately after training (P = 0.04), 1 week later (P < 0.001) and at 6 weeks (P < 0.001). Twenty-three out of the 24 volunteers in the 4-step group got the sequence completely correct each time they were tested, in contrast to only 2 out of the 24 in the 8-step group. There was no difference, however, in the quality of performance of the skills between the two groups. In addition, it was shown that use of the 4-step sequence should result in a useful reduction in the time taken before a rescuer calls for the emergency services and commences CPR. Whether such a radical change in teaching should be introduced is a matter for further discussion and research.

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Citations

Mar 8, 2007·Intensive Care Medicine·Christopher M SmithJulian F Bion
Oct 29, 2003·Resuscitation·Douglas A ChamberlainUNKNOWN Consejo Latino-Americano de Resuscitación
May 4, 2005·Resuscitation·Lynn P RoppoloUNKNOWN Council of Standards Pre-Arrival Instruction Committee, National Academies of Emergency Dispatch (writing group)
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Apr 10, 2002·Medicina clínica·A J HandleyUNKNOWN European Resuscitation Council
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Jul 18, 2003·Resuscitation·Jonathan HulmeAidan MacNamara
Mar 17, 1999·Resuscitation·D AssarS Mayor
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May 15, 2007·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Marja MäkinenMaaret Castren
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Jul 28, 2009·Resuscitation·Carsten LottKarl-Christian Thies
Jun 24, 2008·Collegian : Journal of the Royal College of Nursing, Australia·Jackie LeaPatricia Thornberry
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Nov 19, 2003·Circulation·Douglas A ChamberlainUNKNOWN Consejo Latino-Americano de Resusucitación

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